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Clinical Decisions in Nephrology, Hypertension and Kidney Transplantation pp 151–156Cite as

Respiratory Alkalosis

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Abstract

A. A. is a 27-year-old woman with asthma who presents to the emergency room with cough and dyspnea. The cough began approximately 2 weeks ago after the onset of “cold” symptoms. Her symptoms (sore throat, runny nose, and congestion) have resolved, but the cough has persisted. Since last night, she has felt increasing shortness of breath and “tightness” in her chest. She is breathing at a rate of 28 breaths per min and her oxygen saturation is 97 % while breathing room air. Auscultation of the chest reveals diffuse expiratory wheezing. Electrolytes and complete blood cell counts are within normal limits, and the chest X-ray shows no pulmonary opacities. Analysis of the arterial blood gas reveals: pH 7.5, pCO2 25 mmHg, and HCO −3 20 mEq/L.

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Author information

Authors and Affiliations

  1. Division of Pulmonary, Critical Care and Sleep Medicine, Jackson Memorial Hospital, University of Miami, Miami, FL, 33136, USA

    Rebecca L. Toonkel M.D.

  2. Division of Pulmonary, Critical Care and Sleep Medicine, Miller School of Medicine, University of Miami, 016960 (D60), Miami, FL, 33101, USA

    Shirin Shafazand M.D., M.S.

Authors
  1. Rebecca L. Toonkel M.D.
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  2. Shirin Shafazand M.D., M.S.
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Correspondence to Shirin Shafazand M.D., M.S. .

Editor information

Editors and Affiliations

  1. Chicago College of Medicine, Nephrology, University of Illinois, Wisconsin Avenue 3543, Berwyn, 60402, Illinois, USA

    Edgar V. Lerma

  2. , Division of Nephrology, University of Virginia Health System, Box 800133, Charlottesville, 22908, Virginia, USA

    Mitchell Rosner

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Toonkel, R.L., Shafazand, S. (2013). Respiratory Alkalosis. In: Lerma, E., Rosner, M. (eds) Clinical Decisions in Nephrology, Hypertension and Kidney Transplantation. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4454-1_15

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  • DOI: https://doi.org/10.1007/978-1-4614-4454-1_15

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-4453-4

  • Online ISBN: 978-1-4614-4454-1

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